Evidence map›Paper›PMID 40898309›Full record

ArticleJournal of eating disorders2025

Self-harm in individuals who experience binge eating disorder: A systematic review and meta-analysis.

Elana Moore, Caroline Clements, Emily Flattery, Anam Bhutta, Peter Taylor

Abstract read
In one paragraph

Article in Journal of eating disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Elana MooreDivision of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK. elana.moore@postgrad.manchester.ac.uk.
Caroline ClementsDivision of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK.
Emily FlatteryManchester University NHS Foundation Trust, Manchester, UK.
Anam BhuttaDivision of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK.
Peter TaylorDivision of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBinge Eating Disorder (BED) and self-harm often co-occur and cause great distress. BED is often poorly understood and under-represented in research, despite high prevalence. It is unclear how self-harm in BED populations compares to rates of self-harm in other eating disorder populations or control groups. A systematic review and meta-analysis were undertaken with the aim of investigating how often self-harm occurs along with BED compared to other eating disorders and control groups.

methodThe protocol for this review was pre-registered (PROSPERO reference: CRD42023466201). Online databases, PsycINFO, MEDLINE and Web of Science, were searched using key terms relating to BED and self-harm, for publications dating up to February 2025. Inclusion criteria were studies that measured BED and self-harm. Titles, abstracts and full texts were screened by independent screeners. Sixteen studies were identified. Meta-analyses were completed to determine the odds of self-harm in BED groups compared to other eating disorders and non-clinical control groups. Risk of bias and publication bias were assessed.

resultsThere was no difference in rate of self-harm between people experiencing BED compared to those experiencing Anorexia Nervosa (Odds Ratio [OR] = 0.7, 95% Confidence Interval [CI] = 0.4-1.2) or Other Specified Feeding and Eating Disorders (OR = 0.7, 95% CI = 0.4-1.0). Self-harm was 1.6 times more likely in BED groups compared to non-clinical controls (OR = 1.6, 95% CI = 1.0-2.5), and almost half as likely compared to Bulimia Nervosa groups (OR = 0.6, 95% CI = 0.4-0.8).

conclusionsBED is associated with a higher prevalence of self-harm compared to non-clinical populations and should be approached similarly to other eating disorders in this regard. Increased awareness of the potential for self-harm in BED groups is vital to ensure interventions for eating disorders integrate self-harm prevention. Further research is required in non-western communities and across sexes and gender identities.

Indexed as

Binge eating disorderEating disordersMeta-analysisSelf-harmSystematic review

Identifiers

PMID40898309
PMCPMC12406376

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.